Doctors urge people to get vaccinated after surge in TN flu cases
This week, several Middle Tennessee school districts closed their doors to undergo deep cleaning and allow students and faulty to heal before returning on Monday.
'We call it kind of a double peak,' Dr. Todd Rice, professor of medicine with the Vanderbilt University Medical Center Division of Allergy, Pulmonary, & Critical Care, said. 'We are starting to see a little bounce from the first peak and it came down. Now, it's going back up again.'
Kentucky reports first pediatric flu death of 2024-2025 respiratory illness season
A map published by the Centers for Disease Control & Prevention (CDC) showed Tennessee was one of nearly a dozen states with a 'very high' level of flu-like illness for the week ending on Feb. 1. Inside hospitals across the state, doctors have worked with patients who suffer with severe symptoms.
'You get high fevers, a bad cough and muscle aches that are just debilitating,' Rice said. 'They make it so you can barely get out of bed.'
As a result, schools across Middle Tennessee called off classes — some even closed their doors for multiple days as students and teachers were overwhelmed with illness. The time off has helped them recover from illness and allow schools to sanitize.
'When I saw schools saying, 'We're not going to have school today because so many kids are out and teachers are out and that sort of stuff,' I said, 'Oh yea, this second peak is probably being driven by schools and kids in school.''
Doctors have also reported an increase in COVID-19, RSV, and Norovirus cases, which have been referred to as the 'winter quad-demic.'
'I anticipate in the next week or so that we'll see rising rates again in the hospital as there is this little bit of a delay between the community cases and the hospitalized cases,' Rice said.
Although doctors say the best time to get the flu vaccine is in the early fall, they've encouraged people to get a shot now if they haven't already, saying it's not too late to be vaccinated.
What is influenza A, the type of flu making people so sick right now?
'People told me during that first peak that we were kind of seeing around the holidays, 'Well. it's too late, we are already seeing influenza,'' Rice said. 'Had you gotten vaccinated at that point, you would have been protected at this point and hopefully have less severe disease if you got the flu.'
Rice said no one is immune from the virus, but there are some people more at risk to get the flu. Members of the older population and those who are under 6 are the most at risk for the virus.
As of publication, most school districts in Middle Tennessee plan to open school on time Monday morning. You can follow this link to keep track of all school closings.
Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
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CNBC
30 minutes ago
- CNBC
'I used to be terrible with money': 39-year-old went from living 'paycheck to paycheck' to earning nearly $900,000 last year
Even as a child, Dr. Anna Chacon knew she wanted to follow in her father's footsteps and pursue a career in medicine. She was drawn to the idea that her skills and knowledge could help people. "I observed my father a lot. I went to work with him. I would study on his lap. He had to study many hours as a physician, and I really liked it," the 39-year-old tells CNBC Make It. Chacon made her childhood dream come true in 2012, when she graduated from Brown University's Warren Alpert Medical School. She attended Brown for her undergraduate degree as well, studying economics. Now, she runs her own private dermatology practice in Coral Gables, Florida, just outside of Miami where she grew up. In addition to seeing patients at her clinic, Chacon works with several hospital networks to provide telehealth services to patients around the country. She earned around $896,000 in 2024 through her own practice, contract work through other hospitals, rental income and brand partnerships. Though she "used to be bad with money," she says, Chacon has built a small dermatology empire, as well as an investment portfolio worth over $3.2 million, bringing her total net worth to around $6 million, including the two properties she owns. Her pathway to success wasn't easy, though. She was often discouraged by people who didn't believe she could be successful in medicine or running her own practice, especially as a minority. "When I told people I wanted to do dermatology or be a physician, I was met, unfortunately, with a lot of discouragement because it was very competitive," she says. "I was told to do something else or that I wouldn't get in, and that actually just encouraged me to work harder." After finishing her residency, Chacon worked as a staff dermatologist at the Cleveland Clinic in Weston, Florida. Her father worked at a nearby hospital, but was laid off at the beginning of the Covid-19 pandemic. "It was a shock for me and everyone else in the family, but it inspired me to know that I couldn't rely on one source [of income]," she says. "As comforting as it sometimes is to work for a big hospital system, a pandemic can happen at any time, and you can go through something unexpected." So, in September 2021, Chacon decided to open her own practice where she could expand her patient list and work on her own terms. From there, she obtained licensure in all 50 states, plus the District of Columbia, Puerto Rico and Guam, a lengthy process that cost around $180,000, she says. Costs included travel, fees for things like background checks and professional assistance. "I wanted that ability to work from anywhere," Chacon says. Her father's layoff not only inspired Chacon to start her own practice, but also to get serious about saving. "I used to be terrible with money. I didn't know how to save. I didn't know how to take advantage of retirement accounts," she says. "Growing up in Miami, there's a lot of focus on materialism … I pretty much lived day by day and paycheck to paycheck." Running her own practice helped Chacon boost her income, but to get better at managing her finances, she started educating herself about investing, including reading outlets like CNBC and The Wall Street Journal, she says. She also downloaded an app to track and manage her finances all in one place. "When I initially started tracking my net worth, I was shocked at how low it was," Chacon says. "My one regret is I didn't start sooner. Most of my growth has actually been in the past five years." Although she didn't have much saved, Chacon was lucky to be debt-free — she didn't even own a credit card when she finished her residency. Her parents and scholarships helped pay for her schooling, so she didn't have student debt either. In 2022, Chacon purchased an office building in Coral Gables for $1.1 million. She put around $300,000 down and paid off the mortgage in 2023. Her practice occupies a portion of the building and she rents out the rest to a medical spa that pays her $7,500 a month. The next year, she purchased a home in Pinecrest, Florida, for $1.9 million. She paid off the mortgage in early 2025, but has never actually lived in the house, choosing instead to continue living with her family and renting out the property for $7,500 a month. She spent a lot of time away from her family while she was in residency in Los Angeles, so she's happy to get plenty of time with them now. "I'm proud to [live with them]," she says. "I want to spend every moment I can with them. I want to learn from them ... I also think it's kind of a waste of money for me to move out because I'm single." Despite earning a high income, Chacon doesn't spend too much beyond her needs. "I try to immerse myself into how to invest properly, and I also try to save for another pandemic because of what my family went through and what we all went through just a few years ago," she says. "I also have gotten just more modest as a physician. A lot of my patients live below the poverty line." She'll occasionally splurge on clothes and shoes when sales are good, she says, but she's trying to rein in her shopping. Here's how she spent her money in April 2025. Chacon also paid around $27,000 for some business expenses, including licensure renewals, tech equipment, marketing and legal fees, subscriptions and services. Chacon pays her family $3,000 a month as a contribution to rent and groceries, as well as payment for some administrative help and errands her family members do for her. Because of that, her personal food budget is often on the low side. She doesn't make regular monthly contributions to her savings and investment accounts, but she front-loaded her retirement accounts at the beginning of the year with contributions totaling $170,000. Chacon prioritizes travel. She'll often add leisure time into her work trips to to maximize her time away from home, she says. She also flies business class most of the time so she can do computer work during flights, she says. Chacon's practice is open 24/7 and she works 80 to 120 hours a week, so she doesn't have much free time. While she recognizes she won't be able to maintain this busy pace forever, "I never want to retire," she says. "I love working. I wouldn't be here if I didn't love to work." Still, she's continuing to save and invest for the future so she can maintain her independence and have the financial means to make decisions "when I want to on my own terms," she says. Ultimately, she wants to make sure she and her family are taken care of and can weather any surprises or downturns that could come their way. She hopes to expand her practice in the future to create something "on a national level." "I want to be known as 'America's dermatologist' that can practice everywhere, because ideally I want to have the biggest reach possible," she says.


USA Today
7 hours ago
- USA Today
Her mom got sick, she moved in to help. Years later, they both feel trapped.
Connie Sabir lived independently before falling ill the day after Thanksgiving in 2022. The next day, a Saturday, she went to the emergency room and was diagnosed with COVID-19 and pneumonia. She spent four days in the hospital and returned to her home in Holladay, Utah. Her daughter, Miriam Sabir, was her new roommate. Miriam Sabir packed an overnight bag and expected to care for her 86-year-old mother for a couple of weeks, just to help her get back on track, she said. 'I thought it would be temporary,' Miriam Sabir, 65, said. 'But it has been, you know, 2 and a half years.' The average life expectancy in the U.S. is 78 years old, according to the Centers for Disease Control and Prevention. Many people who live that long or longer need care in some way, and often that responsibility falls on their adult children. The role reversal can be uncomfortable at best and traumatic at worst, guilt-ridden on both sides as parent and child grapple with a new reality that sometimes includes a move to assisted living. For Connie Sabir, COVID-19 accelerated the process. A woman's retirement crisis: Between caregiving and gender wage gap, can they catch up? Both mother and daughter are troubled by what Miriam Sabir's role as caregiver has meant for their relationship. Connie Sabir said she doesn't want to be a burden. Miriam Sabir said the last two years have been incredibly difficult, but she doesn't want her mother to feel like a burden. Between them, these feelings have gone unspoken. 'It's been hard on her, really hard,' Connie Sabir told USA TODAY about her daughter. 'And I'm sorry. I feel really sad about it. And I know that she'd get really tired sometimes. And I wish I could have lifted her burden.' Dr. Sanjay Shetty, President of CenterWell, a senior-focused health provider with clinics and home health services, said this is common among seniors and their family caregivers. But it's important to remember aging is a good thing, he said, even if American society doesn't tout that idea. 'We have to remove the stigma of aging,' Shetty said. 'I worry that we've created this idea of when you age, that you should just quietly deal with your own issues. We don't ask that of any other population.' Seniors have health and wellness needs, Shetty said. But they also need social connection and joy. If the country can recast what it means to be a senior, he said, maybe individual families, too, can open up in conversations about aging and senior care so that everyone gets what they need and no one feels like a strain on their family. Miriam Sabir was upstairs working from home in mid-February when her sister brought their mother home from a doctor's appointment. As their mother came inside and hung up her coat, she fell and broke her leg. Doctors replaced her knee, but Connie Sabir hasn't regained the strength she needs to return home yet. Following her knee surgery, she's been in a care center and is on a wait list to move into an assisted living facility. Miriam Sabir visits her every Sunday morning so they can watch a church program together. 'Honestly, I feel like it's a big relief to have her being taken care of by other people,' Miriam Sabir said. She knows her mother wants to come home eventually. But neither of them is sure what that might look like, especially since their house doesn't have a bathroom on the main floor and the bedrooms are upstairs. Would her mother use a commode? Would they set up a hospital bed in the dining room? 'That looks like end of life,' she said. 'And, you know, I don't think she's at that point.' A mother's chronic fatigue, a daughter's elevated anxiety Connie Sabir used a walker before she got COVID-19, and she needed help going on outings to the doctor's office, meeting friends for lunch and grocery shopping. But she lived alone and managed well by herself for years after she retired from teaching in 2001. After her bout with COVID-19 and pneumonia, she suffered from chronic fatigue and brain fog, symptoms that lingered for more than a year. 'I wasn't able to cook anymore. Oh my gosh, I loved to cook. My favorite thing,' she said. 'I was so tired. I couldn't stand that long.' For Miriam Sabir, caregiving stress manifested in her elevated anxiety. She left her husband in 2020 and was living with her sister, Shireen Watanabe, before she moved in with their mother. They liked their routine. Watanabe said living together was "one of our happiest periods." When Miriam Sabir left to care for their mother, Watanabe noticed "it took a huge toll" on her sister. 'My sister has given up so much of her life. And it's a selfless act,' Watanabe, 54, said. 'I never overlook that.' Miriam Sabir said it made the most sense for her to care for their mom, since she didn't have kids like her siblings who live nearby. But she works full time as a software engineer and has a small vintage clothing business on the side. It was a lot to juggle, she said, and she soon felt her mental health start to deteriorate. She found herself stress eating protein bars and desperately seeking out time to be alone. She felt like she didn't have a space of her own in her mother's house. The emotional whiplash of returning to live at the home she grew up in didn't help. And she felt guilty that caring for her mother wasn't coming naturally. "It just got to the point where I didn't know where to turn," she said. She sought therapy in early 2025, for the sixth time in her life, to brush up on her coping skills for anxiety. Now when she's stressed, she turns on a guided meditation on YouTube. The slow breaths, in and out, help her to regulate her emotions. Seeking a 'What to Expect When You're Expecting' for caregivers Miriam Sabir said she's learned to give herself grace. Like many family caregivers thrust into a similar position, she's not a trained caregiver. More: When her mom got sick, her world turned upside down. Award-winning actress shares her story 'When somebody's pregnant, there's a book called 'What to Expect When You're Expecting,'" she said. "I wish there was a handbook that would say, 'What to Expect When You're Taking Care of an Aging Parent.'' Leslie Vick, a family caregiver in Minnesota, thought the same thing when her 84-year-old mother took a fall in December 2023 and went from living independently to assisted living in a matter of days. So Vick wrote one herself. "Finding Our Way: A Guide on Care, Finances and Helping Through the End of Life Journey" is a self-help guide for caregivers, Vick said. She is adamant that families should work proactively to prepare for the needs of aging loved ones. Having a folder or spreadsheet with their account passwords, doctor's phone numbers, insurance information and a list of monthly bills that need to be paid is a good start, she said. When it comes time to decide whether to move a family member to a care facility or assisted living, "communication is really hard because there are feelings involved," Vick said. But honesty is key. "Know that it's OK that you need help," she said. A CenterWell survey of more than 4,200 U.S. adults published in June found 2 out of 3 Americans prefer independence over longevity without self-sufficiency as they age. For those over 65, that desire increased to 78%. Having her daughter in her home caring for her was hard, Connie Sabir said. It was a reminder that she couldn't do the things she used to enjoy. 'I mean, hard for her because she needed her time, and it was hard for me because I wasn't independent anymore and that's very difficult for me," she said. 'I know she got sick of cooking all the time. I mean I'm sure she did, she never complained, but I'm sure she got tired of it.' Living for a long time and living independently aren't mutually exclusive, Shetty said, though seniors might need to shift their idea of what independence looks like. That's where care teams and family caregivers can collaborate, allowing for as much independence as possible for a senior, whether they are at home or at a facility. 'It took me a long time to relax.' Miriam Sabir said her mother calls her at least three times a day. Each call lasts anywhere from 10 to 30 minutes. She sees her every Sunday, and brings her clean laundry. It took about two months after her mother left before she felt her anxiety lift. "It took me a long time to relax," she said. When her mom is in the assisted living facility she'll probably visit even more, since it will be a cozier, more inviting space. "It's hard to say" if her mother will ever return home, Miriam Sabir said. If she does, the family will need to hire a a paid caregiver. "This is her home," she said. "And I think she'd be happiest here." Meanwhile, Miriam Sabir is starting to think about her own aging experience. "It kind of scares me, actually. Because I don't have kids," she said. "I guess it makes you more cognizant of planning." This story is part of USA TODAY's The Cost of Care series highlighting caregivers from across the country. Previous feature for The Cost of Care: His sick wife asked him to kill her. Now that she's gone, he says the loneliness is worse. Madeline Mitchell's role covering women and the caregiving economy at USA TODAY is supported by a partnership with Pivotal Ventures and Journalism Funding Partners. Funders do not provide editorial input. Reach Madeline at memitchell@ and @maddiemitch_ on X.


Cosmopolitan
20 hours ago
- Cosmopolitan
Improve Your Holistic Health and Fitness the Army Way
Your socials are full of tips, tricks, and hacks for achieving health and wellness, but with so many self-proclaimed experts out there it can be really difficult to understand what's effective and how to formulate a plan you can stick to. Improving yourself is a holistic endeavor, so you need a strategy that supports your overall wellbeing versus piecemeal pointers. This is why the U.S. Army officially launched its Holistic Health and Fitness (H2F) system in 2020. Composed of five readiness domains—physical, nutritional, sleep, mental, and spiritual—and implemented in more than 50 (and counting) brigades across the force, it has become the standard for developing well-rounded, well-adjusted, well-equipped soldiers. "H2F is about looking at the whole soldier, not just the physical aspect. It's a comprehensive approach to readiness," says Capt. Emily Rice of the 81st Readiness Division at Fort Jackson, South Carolina. "We're shifting the culture from just passing the Army Fitness Test (AFT) test to truly taking care of soldiers in all aspects of their health and performance." We have teamed up with Rice and Sgt. Melina Wilkinson, a command team administrator and noncommissioned officer at the 16th Combat Aviation Brigade at Joint Base Lewis-McChord, in Washington, to highlight five core principles from each H2F domain that soldiers rely on to stay mission-ready and resilient—along with ways that you can incorporate them into your own life to become your best self. (Srsly!) The goal of the H2F physical readiness domain isn't to create specialists—it's to build versatile, durable athletes. "Working on cardio and endurance is just as important as strength training; we don't just focus on one or the other," says Wilkinson. "When we're fully geared up, we're carrying 50 pounds or more on our bodies over extended periods, and that puts a lot of stress on the muscles and skeletal structure." To meet that demand, soldiers train year-round with H2F performance teams, including strength coaches and physical therapists. They run, ruck, and lift weights. They do yoga and obstacle courses. Some soldiers do triathlons; others compete in martial arts. Yes, it's a lot, but "being a hybrid athlete is key to longevity in the Army," Wilkinson says. Soldiers don't do advanced lifts or carry heavy packs for long distances right out of the gate, and neither should any of us. "We start small and progress gradually," Wilkinson says. "That's especially beneficial for newer soldiers who aren't physically or mentally ready to do, say, a 12-miler. This 'crawl, walk, run' approach allows us to ruck those long distances without injuries." If you were expecting a rigid, calorie-counting meal plan from the Army, you're in for a treat: The H2F approach to nutrition is surprisingly flexible. "One of the most important things is to keep it simple," says Rice, who is also a registered dietitian, a certified strength-and-conditioning coach, and a certified specialist in sports dietetics. "Our diet culture tends to make nutrition really complicated, but it doesn't need to be. Focus on whole foods, and understand the three macronutrients (protein, fat, carbohydrates)—what they do for our bodies and where to find them in food." And while many nutritionists focus on protein, Rice also leans into carbs. "People are often afraid of carbohydrates, because they've been told they're bad," she says. "We all know protein is important for being strong, but carbohydrates are the foundation that provide your body the fuel it needs to perform." If you've got a long day or workout ahead, throw some carb-rich snacks in your bag beforehand. Rice recommends nutrient-dense whole grains and starchy vegetables, but otherwise she's not too picky. "You still have room for fun foods in the diet," she says. "And yes, a cookie is a carbohydrate that can serve a purpose at times, like on a long ruck. If you need quick energy for a sustained distance, a cookie or some gummy bears can be your best friend." Quality sleep fuels performance as much as, if not more than, nutrition. Need proof? Pull an all-nighter before a full workday and then work out. On second thought, don't. "Lack of sleep significantly impairs both mental and physical performance," Rice says. "Mentally, it slows reaction time, affects memory and decision-making, and increases stress and irritability. Physically, it reduces coordination and strength and slows recovery time." H2F encourages soldiers to get the quality sleep they need whenever and wherever they can, including those times when eight-hour overnight bouts aren't a thing due to deployments or unconventional schedules. "Naps are our best friend in the Army because of how demanding our lives are," Wilkinson says. "Take lunch, get a 20-minute nap, and you can knock out the rest of the day without any issues." Nighttime is still the best bet for quality sleep for us civilians, but late-day caffeine and scrolling right up to bedtime can seriously interfere. "Electronic-device usage, TV time, and caffeine intake at the end of the day can disrupt the sleep cycle, particularly deep sleep," Wilkinson says. Rice recommends cutting off coffee and energy drinks in the early afternoon, and avoiding screens for at least two hours before bed. Painful—but worth it, trust us. No matter what you do, your mental game ultimately decides the outcome. "If your mind is strong, your body is strong—the two are interchangeable, because without mental resilience you can't push yourself physically," says Wilkinson, who learned this lesson up close and personal while recovering from a broken tibia and fibula (two bones located in the lower leg) endured while participating in a military softball tournament in 2022. In H2F, mental resilience isn't about gritting your teeth and shoving through; it's about using tools that help you stay calm and think clearly in high-stress situations. One of Wilkinson's favorites is controlled breathing, "because the body's natural reaction during stressful moments is to have an elevated heart rate and shallow or heavy breathing," she says, adding that breath work helped her fight through pain and discomfort during her rehab sessions. "Taking a deep breath will help you remain even-keeled, so you can fully assess the situation without making any emotional and rash decisions." Wilkinson offers a simple breathing protocol when stress hits: Inhale deeply through your nose, hold your breath for two to three seconds, then exhale through your mouth until you're relaxed. "You do that five times," she says, "and it'll help regulate your nervous system and bring your heart rate down." While the other H2F pillars focus on strategies and tools, the spiritual domain is focused on the individual: It's not so much about what you do, but rather what you draw from—your values, your purpose. "This isn't necessarily religious," Rice says. "It's more about a sense of meaning in what you're doing and feeling, connected to something bigger than yourself." "Spirituality is your base," Wilkinson agrees. "It's what keeps you going long-term. When things get really hard and you're questioning your faith and reason, relying on your base is the foundation that helps you keep moving forward." "We have something called a 'why wall' that soldiers use to write down their purpose or motivation," Rice says. "It could be their family, their kids, their goals, or just wanting to be the best version of themselves. That helps them stay grounded." The rest of us can do this too, using words, photos, or other reminders of what's most important to us. "I try to always come back to why I'm doing something," Wilkinson says. "Why I joined, why I'm here, why I want to be better. It helps on those days when it's hard to get up and go."